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Results for “social functioning”

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At least 397 records · Page 22Linked to original sources
PubMed2003

1-year retention and social function after buprenorphine-assisted relapse prevention treatment for heroin dependence in Sweden: a randomised, placebo-controlled trial.

BACKGROUND: The partial opiate-receptor agonist buprenorphine has been suggested for treatment of heroin dependence, but there are few long-term and placebo-controlled studies of its effectiveness. We aimed to assess the 1-year efficacy of buprenorphine in combination with intensive psychosocial therapy for treatment of heroin dependence. METHODS: 40 individuals aged older than 20 years, who met DSM-IV criteria for opiate dependence for at least 1 year, but did not fulfil Swedish legal criteria for methadone maintenance treatment were randomly allocated either to daily buprenorphine (fixed dose 16 mg sublingually for 12 months; supervised daily administration for a least 6 months, possible take-home doses thereafter) or a tapered 6 day regimen of buprenorphine, thereafter followed by placebo. All patients participated in cognitive-behavioural group therapy to prevent relapse, received weekly individual counselling sessions, and submitted thrice weekly supervised urine samples for analysis to detect illicit drug use. Our primary endpoint was 1-year retention in treatment and analysis was by intention to treat. FINDINGS: 1-year retention in treatment was 75% and 0% in the buprenorphine and placebo groups, respectively (p=0.0001; risk ratio 58.7 [95% CI 7.4-467.4]). Urine screens were about 75% negative for illicit opiates, central stimulants, cannabinoids, and benzodiazepines in the patients remaining in treatment. INTERPRETATION: The combination of buprenorphine and intensive psychosocial treatment is safe and highly efficacious, and should be added to the treatment options available for individuals who are dependent on heroin.

Adult↗
PubMed1999

Morbidity and quality of life and the moderating effects of level of education in the elderly.

The moderating effect of level of education (as an indicator of socioeconomic status) on the associations between chronic medical morbidity and six domains of health-related quality of life (physical function, role function, social function, health perceptions, bodily pain and mental health) is studied in a large community-dwelling elderly sample (N = 5279). The results showed that health-related quality of life is substantially affected by chronic medical morbidity, and that level of education has weak, but significant unique contributions to physical function, social function, health perceptions, and mental health. We did not find substantial evidence for the differential vulnerability hypothesis. At best, low education might amplify the negative effects of the number of chronic medical conditions on mental health only, but this result was not confirmed in four specific disease groups.

Aged↗
PubMed1999

Quality of life implications of inadequate protein nutrition among hemodialysis patients.

OBJECTIVE: To determine the quality of life implications of inadequate protein nutrition among hemodialysis patients. DESIGN: Cross-sectional study. SETTING: All 22 chronic hemodialysis units in northeast Ohio. PATIENTS: There were 289 randomly selected patients. INTERVENTION: Interview and chart abstraction. MAIN OUTCOME MEASURES: Six quality of life subscales related to general health, physical function, social function, symptoms, burden of kidney disease, and employment status. RESULTS: Low albumin levels were independently associated with decreased physical function, social function, and burden of kidney disease scores after adjustment for patient age, race, gender, health insurance, cause of renal failure, years on dialysis, and number of comorbid conditions. Low protein catabolic rate was independently associated with decreased physical function scores and with being retired or disabled. CONCLUSION: Inadequate protein nutrition is independently associated with poor quality of life. Further study is needed to develop interventions to overcome barriers to protein nutrition and to determine the effect of such interventions on protein nutrition and patient quality of life.

Adolescent↗
PubMed1995

Perception, expression, and social function of pain: a human ethological view.

Pain has important biomedical, socioanthropological, semiotic, and other facets. In this contribution pain and the expression of pain are looked at from the perspective of evolutionary biology, utilizing, among others, cross-cultural data from field work in Melanesia. No other being cares for sick and suffering conspecifics in the way humans do. Notwithstanding aggression and neglect, common in all cultures, human societies can be characterized as empathic, comforting, and promoting the health and sell-being of their members. One important stimulus triggering this caring response in others is the expression of pain. The nonverbal channel of communication, particularly certain universal--i.e., culture-independent facial expressions, gestures, and body postures, convey much of the message from the pain-stricken person to the group. These behaviors signal the person's physical and psychical pain, sadness, grief, and despair in ways very similar to the signs given by infants and small children: the body loses tonus and sinks or drops to the ground, the gestures are those of helplessness. Pain and grief may be so strong that control is lost not only over the body's posture but also over the mind's awareness. In such cases the afflicted person may carry out actions endangering himself or others. In general, these behavior patterns resemble those of infants in situations of distress and danger, and it is not surprising that the response of the members of the group is basically parental: taking care, assisting and consoling. Perceptive and behavioral patterns which developed in the course of avian and mammalian phylogeny to serve the well-being of the young have proven, as was shown by Eibl-Eibesfeldt (1989), to be powerful building blocks for actions in other spheres of human interaction. Love is one such field, the reactions to a conspecific suffering pain is another.

Animals↗
PubMed1995

To whom do people turn when things go poorly? Task orientation and functional social contacts.

Using experience-sampling data the authors examined distinct benefits and uses of social support. As expected, emotional support buffered negative psychological states, and informational support appeared to facilitate mastery-related states, among individuals who had previously reported low well-being. An examination of social pursuits revealed that these distinct kinds of support were sought by individuals who were especially likely to need them. Participants focused on outcomes in their social lives, and therefore especially likely to be emotionally distressed when social pursuits go poorly, responded to poor social well-being by spending time with emotional supporters. Participants focused on improvement in their social lives responded to poor social well-being by spending time with others who could provide information to facilitate self-improvement--people who personified their self-ideals.

Female↗
PubMed2002

Health-related quality of life in WHO class II-III obese men losing weight with very-low-energy diet and behaviour modification: a randomised clinical trial.

OBJECTIVE: To study health-related quality of life responses to marked weight loss in WHO Class II-III (body mass index (BMI) > or = 35 kg/m2) obese men. DESIGN: An 8 month randomised clinical trial with a 4 month weight loss programme (10 weeks on a very-low-energy diet (VLED) and 17 behaviour modification visits) in the treatment group and no intervention in the control group. SUBJECTS: Nineteen men (mean age 45.9 y, mean BMI 39.3 kg/m2) in the treatment group and 19 men (47.2 y, 39.4 kg/m2) in the control group. MEASUREMENTS: Weight and questionnaires measuring health-related quality of life (RAND 36-Item Health Survey 1.0 and obesity-related psychosocial problems scale). RESULTS: In the treatment group, the mean (s.d.) weight loss was 17.0 (7.4)% at the end of the 4 month therapy. At the end of follow-up, nearly 6 months after the end of VLED in the treatment group, the average maintained weight loss was 13.9 (7.8)% of baseline weight. The control group was weight stable throughout the study. During treatment, there was only transient improvement in general health, bodily pain, mental health, emotional role functioning and vitality (all increases in the scores were not statistically significant). Improvements in physical functioning, social functioning and obesity-related psychosocial problems were maintained until the end of follow-up. The treatment group also reported improvement in perceived health in the past year. There was only minor fluctuation in questionnaire scores in the control group. CONCLUSION: The short-term and maintained health-related quality of life effects of weight loss may differ. Marked weight loss in WHO Class II-III obese men leads to improvements in physical functioning, social functioning, obesity-related psychosocial problems, and perceived health; these improvements were maintained at 4 month post-intervention follow-up.

Adolescent↗
PubMed1975

Individual odor differences and their social functions in insects.

The evolution of individual or subgroup differences in odors of halictine bees is suggested from possible widespread intraspecific variation in pheromones. An important result of such variation may be maintenance of genetic polymorphisms; in nesting Hymenoptera odor differences may also facilitate individual nest recognition. In Lasioglosum zephyrum males habituate to odors of different females and perhaps thus save time by not trying to copulate with nonreceptive individuals. Guards (females) at nest entrances distinguish their few nestmates (other females) from other conspecific individuals by odors, seemingly pheromones. Duration of the habituation in L. zephyrum is at least an hour (perhaps much more) for males in relation to females and 6 or 7 days for guards in relation to nestmates. Studies of pheromones should take into consideration the possibility of pheromonal polymorphism in any species and the likelihood that it may be significant from biological and practical viewpoints.

Animals↗
PubMed1996

The SF-36 health survey: a valid measure of changes in health status after injury.

OBJECTIVES: The aim of this study is to evaluate the criterion validity and responsiveness to changes over time of the Medical Outcome Study Short Form 36 (MOS SF-36) measure. METHODS: A consecutive sample of 775 patients 16 to 78 years treated for an unintentional injury at the hospital or emergency clinic in Drammen, Norway was selected for the study. Data about activity restrictions and health status measured by SF-36 were obtained by a postal questionnaire 6-10 weeks after the injury. A follow up survey was sent 24-28 weeks later to all who reported activity restriction at the time of the first survey. Fifty two of these replied (63%). RESULTS: 469 patients responded to the survey questionnaire and of these, 82 experienced some restriction of activity. These scored lower (p < 0.01) on all eight SF-36 health dimensions (physical functioning, social functioning, role limitation (physical), role limitation (emotional), bodily pain, mental health, vitality, and general health) than the 387 patients without activity restriction. Scores on physical functioning, social functioning, role limitation (physical), bodily pain, and vitality significant improved (p < 0.01) among the 52 patients who were followed up. Scores on the other dimensions, however, showed no significant changes over time. CONCLUSION: The MOS SF-36 appears to be a valid instrument, responsive to changes in health status over time among unintentionally injured adult people. Thus it may be possible to use the SF-36 to describe changes in health due to injury. The applicability of this or similar measures for injured children remains to be established.

Activities of Daily Living↗